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Approaches to Improving Professional Judgment

机译:改善专业判断力的方法

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Professional judgment is guided by many inputs; some are subjective, e.g. 'mental models' and some are objective. How accurate are decisions guided by professional judgment, and do the inputs and the way in which they are incorporated into the assessment influence exposure judgment accuracy? Qualitative exposure judgment accuracy, based on subjective inputs is low (mean ~ 30%), motivating the development of a new tool, the "Qualitative Exposure Assessment Checklist Tool", providing objective input to professional judgment. Comprised of 3 heuristics, it is based on physical chemical principles and was refined empirically, through experience. The Checklist provides an ordered approach for applying these principles, and is applicable to volatile and semi-volatile vapor, fiber, aerosol and particulate exposure scenarios. Requiring only four pieces of information: the OEL, vapor pressure of the pure chemical (for vapors), the observed workplace control measures and the 'required level of control', the tool is easy to use and is freely available from the American Industrial Hygiene Association Exposure Assessment Strategies Committee. This influence of this tool on qualitative exposure judgment accuracy was evaluated in a series of workshops in which participants evaluated exposure scenarios, in the absence of personal exposure measurements. Judgments guided by the Checklist were significantly more accurate, ~60 % categorical accuracy, based on the AIHA Exposure Assessment Strategy, and ~ 70% accurate and accurate or overestimating by one exposure control category. The workshop results strongly support the use of this objective tool over other subjective inputs to professional judgment.
机译:专业判断需要许多投入的指导;有些是主观的,例如“心理模型”,有些是客观的。专业判断指导决策的准确性如何?评估中输入的内容和将其纳入评估的方式会影响暴露判断的准确性吗?基于主观投入的定性暴露判断准确性低(平均〜30%),从而促使开发新工具“定性暴露评估清单工具”,为专业判断提供客观输入。它由3种启发式方法组成,基于物理化学原理,并通过经验进行了完善。清单提供了应用这些原理的有序方法,适用于挥发性和半挥发性的蒸气,纤维,气溶胶和微粒暴露场景。该工具仅需四项信息:OEL,纯化学品的蒸汽压(用于蒸汽),观察到的工作场所控制措施以及“所需的控制水平”,该工具易于使用,可从美国工业卫生部免费获得。协会暴露评估策略委员会。在一系列研讨会中评估了该工具对定性暴露判断准确性的影响,在没有参加个人暴露测量的情况下,参与者评估了暴露情况。根据AIHA暴露评估策略,检查表所指导的判断明显更准确,分类准确度约为60%,而一个暴露控制类别的准确度或准确率则高估了70%。研讨会的结果强烈支持使用此客观工具,而不是专业判断的其他主观输入。

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